Jugular phlebectasi: A cause of neck swelling - Case report

1292 According to literature search this appears to be the first case published on such lesion. doi:10.1016/j.ijporl.2008.02.026

Proboscis lateralis: A case report ´a M.V. Souza a,*, Angela F.M. Guerra a, Andre Alexandre M. Resende b, Carlos I.C. Almeida b, ´ de Campos Duprat c Andre a Pediatric Otorhinolaryngology Discipline of the Surgery Department, Secretaria Municipal de ´de de BH, Pam Saudade, Belo Horizonte, Brazil Sau b ´lia Plastic Surgery Discipline of the Hospital Ju Kubitschek-FHEMIG, Belo Horizonte, Brazil c Department of Otorhinolaryngology, Santa Casa ˜o Paulo, Faculty of Medical Sciences, Sa ˜o de Sa Paulo, Brazil We present a case of proboscis lateralis, a rare congenital deformity, in a female gender patient, which describes the lesion, the physical examination, the tomographic study, the transnasal flexible laryngoscopy, and lesion histology. A literature review was performed regarding the associated malformations described, the embryological pathogenesis, as well as considerations on the surgical treatment. doi:10.1016/j.ijporl.2008.03.029

Jugular phlebectasia: A cause of neck swelling–— Case report ´a Mv Souza a,*, Angela F.M. Guerra a, Andre ˆnia Mara Assis Lima b, Andre ´ de Campos Duprat c Ta a Pediatric Otorhinolaryngology Discipline of the Surgery Department, Secretaria Municipal de ´de de BH, Pam Saudade, Av. Pasteur, 89-sala Sau ˆnia, CEP 30150-290, Belo Horizonte, 407-Santa Efige MG, Brazil b Department of the Oftalmology, Otorhinolaringology and Speech and Language Pathology, Faculdade de Medicina da UFMG, Belo Horizonte, Brazil c Department of Otorhinolaryngology, Santa Casa de ˜o Paulo, Faculty of Medical Sciences, Sa ˜o Paulo, Sa Brazil Jugular phlebectasia is an anomaly usually present in children presented as a soft and compressible cervical mass, which arises during straining, crying and

Abstracts phonation. Diagnosis is usually made through Doppler sonogram and CT scan. Treatment is either conservative or surgical, depending on the hemodynamic and aesthetic commitment. We present a jugular phlebectasia case in a 10-year-old child, associated to the atrophy of the sternocleidomastoid muscle and other vascular anomalies. We highlight the importance of a thorough investigation including magnetic resonance examination, and alert for that pathology, which is probably under diagnosed. doi:10.1016/j.ijporl.2008.03.030

Acquired tracheo-esophageal fistula in a child caused by an unsuspected esophageal foreign body ´n-Pacheco *, Francisco J. Berchi Juan L. Anto Division of Pediatric Surgery and Pediatric Airway Unit, University Hospital ‘‘12 de Octubre’’, Madrid, Spain Acquired tracheo-esophageal fistula (TEF) is very infrequent in the pediatric age group and is usually caused by esophageal foreign body impaction. Bronchoscopy plays an essential role in the diagnostic work-up of this rare complication. Delayed surgical closure with muscle flap interposition is the treatment of choice if spontaneous healing does not occur. The authors present the case of a 5-year-old boy with an acquired TEF caused by a very unusual esophageal foreign body, treated surgically. Management of this rare entity is discussed. doi:10.1016/j.ijporl.2008.02.029

Multifocal anaplastic large T cell lymphoma of the ethmoid sinuses, temporalis muscle and frontal lobe in a 17-year-old boy Yalon Dolev a, Jonathan Young b, John J. Manoukian b,* a 14 Evergreen, Dollard-des-Ormeaux, Quebec H9A 2V4, Canada b Department of Otolaryngology, Head and Neck Surgery, McGill University Health Centre, Montreal Children’s Hospital, 2300 Tupper Street, #B-240 Montreal, Quebec H3H 1P3, Canada Sinonasal lymphomas are uncommon malignancies. We report the case of a 17-year-old boy who